Nursing Elites

1. Following successful heart transplant surgery, the patient's body will need to take medications to:

• A. Suppress the immune system and prevent rejection of the new heart.
• B. Reduce overall blood pressure.
• C. Dissolve any remaining blood clots.
• D. Stimulate the growth of new heart tissue.

Correct answer: A

Rationale: After heart transplant surgery, the patient's body will need to take medications to suppress the immune system and prevent rejection of the new heart. This is essential to ensure that the body does not identify the transplanted heart as a foreign entity and mount an immune response against it, which could lead to transplant rejection and failure. Choices B, C, and D are incorrect because post-heart transplant medications primarily focus on preventing rejection by suppressing the immune system, rather than reducing blood pressure, dissolving blood clots, or stimulating the growth of new heart tissue.

2. What is the most common cause of hospital-acquired infections (HAIs)?

• A. Viruses
• B. Bacteria
• C. Fungi
• D. Parasites

Correct answer: B

Rationale: Hospital-acquired infections (HAIs), also known as nosocomial infections, are infections that patients acquire during the course of receiving treatment in a healthcare facility. Among the options provided, bacteria are the most common cause of HAIs. Bacteria such as Staphylococcus aureus, Escherichia coli, and Pseudomonas aeruginosa are known to cause a wide range of infections in healthcare settings. While viruses, fungi, and parasites can also cause HAIs, bacteria are the most prevalent and significant pathogens responsible for these infections. Proper infection control measures, including hand hygiene, environmental cleaning, and antimicrobial stewardship, are essential in preventing and controlling HAIs caused by bacteria.

3. How do hydrogen bonds in water affect its characteristics?

• A. Hydrogen bonds are not polar enough to attract non-polar molecules.
• B. Hydrogen bonds cause water to be less dense when it is a solid than when it is a liquid.
• C. Hydrogen bonds cause water to have high surface tension, allowing some organisms to move across it.
• D. Hydrogen bonds cause water to be a good solvent.

Correct answer: C

Rationale: Hydrogen bonds in water contribute to its high surface tension, enabling some organisms to move across the water's surface. This property is essential for certain insects and small animals that rely on surface tension to move or stay afloat on water. Choice A is incorrect because hydrogen bonds are polar and can attract polar and other charged molecules. Choice B is incorrect as hydrogen bonds make ice less dense than liquid water, which is a unique property. Choice D is incorrect as the ability of water to act as a good solvent is primarily due to its polarity, not just hydrogen bonding.

4. Muscle soreness after exercise is often caused by microscopic tears in muscle fibers. This is called

• A. Atrophy
• B. Hypertrophy
• C. DOMS (Delayed Onset Muscle Soreness)
• D. Spasm

Correct answer: C

Rationale: Muscle soreness after exercise is often caused by microscopic tears in muscle fibers, leading to Delayed Onset Muscle Soreness (DOMS). Atrophy refers to the wasting away of muscle tissue, hypertrophy is the increase in muscle size, and spasm is an involuntary contraction of a muscle. DOMS typically occurs 24 to 72 hours after intense exercise and is characterized by muscle stiffness, tenderness, and reduced range of motion. It is a normal response to unfamiliar or strenuous physical activity and indicates that the muscles are adapting to the workload. Therefore, the correct answer is C (DOMS) as it specifically describes the phenomenon of muscle soreness resulting from microscopic tears in muscle fibers, distinguishing it from the other choices which refer to different physiological processes or conditions.

5. What is the tough, fibrous tissue that connects bones at joints called?

• A. Cartilage
• B. Ligaments
• C. Tendons
• D. Fascia

Correct answer: B

Rationale: Ligaments are the tough, fibrous tissue that connects bones at joints, providing stability and support to prevent excessive movement and potential injury. Cartilage is a smooth, rubbery connective tissue that covers bone ends at joints. Tendons connect muscles to bones, enabling movement. Fascia surrounds muscles, blood vessels, and nerves, providing support and structure to these tissues. In this context, ligaments are specifically the connective tissues that bind bones together at joints, not cartilage, tendons, or fascia.

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